KINDRED HOSPITAL SOUTBAY (NPI# 1306267208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306267208 |
| Entity Type | Organization |
| Organization Name | KINDRED HOSPITAL SOUTBAY |
| Practice Address |
14900 Imperial Hwy La Mirada CA 90638-2172 |
| Practice Telephone | 5629038765 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | KRISTIN ABARCA (LEAD BILLER/COLLECTOR) |
| Authorized Official Telephone | 5629038765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| Street Address |
14900 IMPERIAL HWY |
| City | LA MIRADA |
| State | CA |
| Zip Code | 90638-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033294723 | Southern California Specialty Care, LLC | Long Term Care Hospital | 14900 Imperial Hwy, La Mirada, CA 90638 | 2006-10-25 |
| 1386270916 | Southern California Specialty Care, LLC | Skilled Nursing Facility | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2020-03-16 |
| 1548891971 | Southern California Specialty Care, LLC | Skilled Nursing Facility | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2020-02-04 |
| 1245877570 | Mary Hoang Nguyen | Pharmacist | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2019-12-05 |
| 1730730797 | Stephanie Lozano | Physical Therapist | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2019-09-21 |
| 1730586397 | Van Anh Hoang | Pharmacist | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2014-11-26 |
| 1275952483 | Kenneth S. Johnson, M.d. A Medical Corporation | Anesthesiology | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2014-04-15 |
| 1932438140 | Memorial Pathology Medical Group Inc | Pathology | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2009-12-17 |
| 1710216049 | Knd Development 59 LLC | Hospitalist | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2009-12-16 |
| 1457583601 | Southern California Specialty Care, Inc. | General Practice | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144095 | Amanda Connell | Counselor | 13710 La Mirada Blvd., Straight Talk, La Mirada, CA 90638 | 2019-09-30 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
| 1124520606 | Meredith Narcisse | Counselor | Aegis Treatment Center 14240 Imperial Hwy, La Mirida, CA 90638 | 2018-03-01 |
| 1336685114 | Dorina Hamilton | Counselor | 14240 E. Imperial Hwy., La Mirada, CA 90638 | 2017-01-17 |
| 1497201768 | Blm Pharmacy Inc | Pharmacy | 12675 La Mirada Blvd., Suite 100, La Mirada, CA 90638 | 2016-08-28 |
| 1972954535 | Wendy Tran | Dentist | 12265 La Mirada Blvd, La Mirada, CA 90638 | 2016-06-24 |
| 1962851410 | Amy Bender | Counselor | 14240 Imperial Highway, La Mirada, CA 90638 | 2016-06-06 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1750797098 | Napoleon Tiquia | General Practice | 12049 Hartdale Avenue, La Mirada, CA 90638 | 2014-07-08 |
| Find all providers in zip 90638 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033294723 | Southern California Specialty Care, LLC | Long Term Care Hospital | 14900 Imperial Hwy, La Mirada, CA 90638 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766282 | Odedra Enterprises, Inc. | Long Term Care Hospital | 2809 Olive Hwy Ste 160, Oroville, CA 95966-6133 | 2019-08-22 |
| 1063916534 | Labri, Inc | Long Term Care Hospital | 26491 Aracena Dr, Mission Viejo, CA 92691-5101 | 2018-03-20 |
| 1194118554 | Raquel Cabrera | Long Term Care Hospital | 662 Kempton St, Spring Valley, CA 91977-5016 | 2015-03-10 |
| 1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
| 1265840532 | Genesis Rehab Services | Long Term Care Hospital | 2506 Swift Ave, Clovis, CA 93611-3900 | 2014-07-30 |
| 1922363209 | Valley Medical Center | Long Term Care Hospital | 21490 Columbus Ave, Cupertino, CA 95014-4971 | 2012-07-12 |
| 1679848808 | Therapists Unlimited | Long Term Care Hospital | 367 Eastridge Dr, San Ramon, CA 94582-4912 | 2012-03-21 |
| 1134493463 | Centinela Hospital Medical Center | Long Term Care Hospital | 120 South Reno St Unit 347, Los Angeles, CA 90057 | 2012-03-05 |
| 1891086914 | Divine Medical Supply, Incorporated | Long Term Care Hospital | 285 S Gilbert St, Fullerton, CA 92833-2908 | 2011-04-23 |
| 1215247978 | Knd Development 53, L.L.C. | Long Term Care Hospital | 1246 W. 155th St, Gardena, CA 90247-4011 | 2010-10-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.